Tag Archives: medicare appeal

Nominee Tom Price Wants Shift Away from Medical Necessity Audits To Anti-Fraud Audits

CMS should focus its billing audits less on verifying medical necessity and more on rooting out blatant fraud, the agency’s likely next secretary said Tuesday. Rep. Tom Price, R-Ga., made statements to that affect while appearing before the Senate Finance … Continue reading

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Self-Administered Medication – Earned Revenue or Another Write Off

Caveat emptor et provisor [Let buyer and provider beware] Written by Bill Malm, ND CMAS CRCR Many facilities struggle with the implementation and collection of earned revenues from Self-Administered Medications (SAD.)  SAD has had a litany of guidance made by … Continue reading

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“Finally Friday!” CMS Proposes the MOON & Other Changes for the NOTICE Act

FRIDAY May 13, 2016: “CMS Proposes the MOON & Other Changes to Implement the NOTICE Act“ A Proposed Rule Inside A Proposed Rule OR How CMS can defy Congress with a straight face Get the Handouts Sponsored by The Health … Continue reading

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